Inxalenye yamadolo

Ukutshintshwa kwamadolo ngokuyinxalenye kutyando ukubuyisela inxenye enye kuphela yedolo elonakalisiweyo. Inokutshintsha indawo engaphakathi (medial) yenxalenye, icandelo elingaphandle (elisecaleni), okanye icandelo ledolo.

Utyando lokutshintsha lonke idolo elibizwa ngokuba lilonke libuyiselwa endaweni yamadolo.

Utyando oluyingxenye yamadolo lususa izicwili kunye nethambo elonakeleyo edolweni. Kuyenziwa xa isifo samathambo sikho kwinxalenye kuphela yedolo. Indawo zithathelwa indawo kukufakwa kwezinto ezingezizo, ezibizwa ngokuba yi-prosthetic. Elinye idolo lakho ligciniwe. Ukutshintsha kwamadolo ngokwamaxesha amaninzi kwenziwa rhoqo ngeendlela ezincinci, kungoko kukho ixesha elincinci lokubuyisela kwimeko yesiqhelo.

Phambi kotyando, uya kunikwa amayeza athintela iintlungu (iintlungu). Uya kuba nenye yeentlobo ezimbini ze-anesthesia:

• I-anesthesia ngokubanzi. Uya kuba ulele kwaye ungenazintlungu ngexesha lenkqubo.
• Ummandla (umgogodla okanye i-epidural) i-anesthesia. Uya kuba ndindisholo ezantsi kwesinqe sakho. Uyakufumana amayeza anokukwenza uphumle okanye ulale.

Ugqirha uya kusika phezu kwedolo lakho. Oku kunqunyulwa kumalunga nee-intshi ezi-3 ukuya kwezi-5 (7.5 ukuya kwezi-13 iisentimitha) ubude.

• Emva koko, ugqirha wotyando ujonga lonke idolo. Ukuba kukho umonakalo ngaphezulu kwenxalenye enye yedolo lakho, unokufuna ukubuyiselwa kwamadolo ngokupheleleyo. Uninzi lwexesha oku akufuneki, kuba uvavanyo olwenziwe ngaphambi kwenkqubo lwaluya kubonisa lo monakalo.
• Amathambo kunye nezicubu ezonakeleyo ziyasuswa.
• Inxalenye eyenziwe ngeplastiki kunye nentsimbi ibekwe edolweni.
• Nje ukuba icandelo libe kwindawo elungileyo, liqhotyoshelwe ngesamente yethambo.
• Inxeba livaliwe ngemithungo.

Isizathu esiqhelekileyo sokuba idolo lidityaniswe kukuthomalalisa iintlungu zesifo samathambo.

Umboneleli wakho wokhathalelo lwempilo unokucebisa ngokudityaniswa ngokudibeneyo kwamadolo ukuba:

• Awunakulala ubusuku bonke ngenxa yeentlungu zedolo.
• Iintlungu zamadolo zikuthintela ekwenzeni imisebenzi yemihla ngemihla.
• Iintlungu zamadolo akho azange zilunge kunye nolunye unyango.

Kuya kufuneka uqonde ukuba luyintoni na utyando kunye nokuchacha.

Inxalenye yedolo le-arthroplasty inokuba lukhetho olufanelekileyo ukuba unesifo samathambo kwicala elinye kuphela okanye inxalenye yedolo kwaye:

• Umdala, ubhitye, kwaye awusebenzi kakhulu.
• Awunaso isifo samathambo esibi kwelinye icala ledolo okanye phantsi kwedolo.
• Unokukhubazeka okuncinci kuphela emadolweni.
• Unoluhlu oluhle lokuhamba emadolweni.
• Imisipha edolweni lakho izinzile.

Nangona kunjalo, uninzi lwabantu abane-arthritis yamadolo luqhaqho olubizwa ngokuba yi-knee arthroplasty (TKA).

Ukutshintshwa kwamadolo kudla ngokwenziwa kubantu abaneminyaka engama-60 nangaphezulu. Ayingabo bonke abantu abanokutshintsha inxenye yamadolo. Awunakuba ngumgqatswa olungileyo ukuba imeko yakho imbi kakhulu. Kwakhona, imeko yakho yonyango kunye neyasemzimbeni ayinakuvumela ukuba ube nenkqubo.

Iingozi zolu tyando zibandakanya:

• Amahlwili egazi
• Ulwakhiwo lwamanzi emadolweni
• Ukusilela kwamalungu afakelweyo endaweni yokuncamathisela edolweni
• Ukonakala kwamathambo kunye nomthambo wegazi
• Intlungu ngokuguqa
• I-Reflex novelwano lwe-dystrophy (inqabile)

Soloko uxelela umboneleli wakho ukuba zeziphi iziyobisi ozithathayo, kubandakanya imifuno, izongezo, kunye namayeza athengwe ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Lungisa umzi wakho.
• Buza umboneleli wakho ukuba ngawaphi amayeza onokuthi uwathathe ngosuku lotyando lwakho.
• Unokucelwa ukuba uyeke ukuthatha iyeza elenza kube nzima kwigazi lakho ukubambeka. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izicoci gazi ezifana ne-warfarin (Coumadin), kunye nezinye iziyobisi.
• Kuya kufuneka uyeke ukuthatha nawaphi na amayeza enza buthathaka amajoni akho omzimba, kubandakanya i-Enbrel kunye ne-methotrexate.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho wotyando uya kukucela ukuba ubone umboneleli okunyangayo kwezi meko.
• Xelela umboneleli wakho ukuba ubusele utywala kakhulu (ngaphezulu kwesinye okanye ezimbini iziselo ngosuku).
• Ukuba uyatshaya, kufuneka uyeke. Cela uncedo kubaboneleli bakho. Ukutshaya kunciphisa ukuphola kunye nokubuyela kwimeko yesiqhelo.
• Yazisa umboneleli wakho ukuba ufumana ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo ngaphambi kotyando lwakho.
• Unokufuna ukutyelela ugqirha wonyango ngaphambi kotyando ukuze ufunde ukuzilolonga okunokukunceda ukuba uphinde uchache.
• Ziqhelise ukusebenzisa induku, ukuhambahamba, iintonga, okanye isitulo esinamavili.

Ngomhla wotyando lwakho:

• Unokuxelelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezi-6 ukuya kwezi-12 ngaphambi kwenkqubo.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngomphunga wamanzi.
• Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele.

Unokwazi ukuya ekhaya kwangolo suku okanye kufuneka uhlale esibhedlele usuku.

Ungabeka ubunzima bakho emadolweni kwangoko.

Emva kokuba ubuyele ekhaya, kuya kufuneka uzame ukwenza oko uxelelwa ngugqirha wakho. Oku kubandakanya ukuya kwigumbi lokuhlambela okanye ukuthatha uhambo kwipaseji ngoncedo. Uya kudinga unyango lomzimba ukuphucula uluhlu lwentshukumo kunye nokomeleza izihlunu ezijikeleze idolo.

Uninzi lwabantu luchacha ngokukhawuleza kwaye baneentlungu ezingaphantsi kunoko babenako ngaphambi kotyando. Abantu abanokutshintsha kwamadolo bayachacha ngokukhawuleza kunabo banokutshintshwa ngamadolo ngokupheleleyo.

Abantu abaninzi bayakwazi ukuhamba ngaphandle kwenduku okanye ukuhambahamba kwiiveki ezi-3 ukuya kwezi-4 emva kotyando. Uya kudinga unyango lomzimba kangangeenyanga ezi-3 ukuya kwezi-4.

Iindlela ezininzi zokuzilolonga zilungile emva kotyando, kubandakanya ukuhamba, ukuqubha, intenetya, igalufa kunye nokuhamba ngebhayisikile. Nangona kunjalo, kuya kufuneka uyiphephe imisebenzi enefuthe eliphezulu njengokubaleka.

Ukutshintsha kwamadolo ngokuyinxalenye kunokuba neziphumo ezilungileyo kwabanye abantu. Nangona kunjalo, indawo engabuyiswanga emadolweni isenokuhla kwaye unokufuna ukuguqulwa kwamadolo okupheleleyo phantsi kwendlela. Inxalenye yangaphakathi okanye engaphandle yokutshintsha ineziphumo ezilungileyo ukuya kuthi ga kwiminyaka eli-10 emva kotyando. I-patella ekhethekileyo okanye i-patellofemoral replacement ayinaziphumo zilungileyo zexesha elide njengokungena ngaphakathi okanye ngaphandle. Kuya kufuneka uxoxe nomboneleli wakho ukuba ngaba ungumgqatswa wokutshintsha idolo ngokuthe ngqo kwaye liyintoni inqanaba lokuphumelela kwimeko yakho.

Idolo le-arthroplasty engalinganiyo; Ukutshintshwa kwedolo - inxenye; Ukutshintsha idolo le-Unicondylar; Artroplasty - idolo unicompartmental; UKA; Ukutshintshwa kwamadolo endaweni encinci

• Idolo edibeneyo
• Ubume bedibeneyo
• Inxalenye yokutshintsha kwamadolo-uthotho

IAlthaus A, i-WJ ende, iVigdorchik JM. Irobotic unicompartmental knee arthroplasty. Ku: Scott WN, ed. Utyando lwe-Insall kunye ne-Scott lweKnee. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2018: isahluko 163.

Jevsevar DS. Unyango lwe-osteoarthritis emadolweni: isikhokelo esisekwe kubungqina, uhlelo lwe-2. J Am Acad Orthop Surg. Ngo-2013; 21 (9): 571-576. IINKCUKACHA: 23996988 www.ncbi.nlm.nih.gov/pubmed/23996988.

Mihalko WM. IArthroplasty yedolo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 7.

U-Weber KL, uJevsevar DS, uMcGrory BJ. Isikhokelo sokuziqhelanisa noKlinikhi seAAOS: ulawulo lotyando lwe-osteoarthritis edolweni: isikhokelo esisekwe kubungqina. J Am Acad Orthop Surg. Ngo-2016; 24 (8): e94-e96. IINKCUKACHA: 27355287 www.ncbi.nlm.nih.gov/pubmed/27355287.